Individual
ALYSSA STATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
14901 CANTRELL RD, LITTLE ROCK, AR 72223-4255
(501) 367-1200
Mailing address
14108 HICKORY NUT RIDGE RD, BAUXITE, AR 72011-9031
(501) 326-5502
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#3974
AR
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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